Goodness can become complicated

Doctor/author Vincent Lam explores
that virtue in Giller winner

hen Vincent Lam was growing up in Ottawa in the 1980s, he was
crazy about stories. In elementary school, he was the one who
sat reading in the playground while the other kids were running
around.

"I tried running around," said Lam. "And it was
OK. But at that point in my life, reading was much greater. It
was something that enlarged the world." His favourite authors
were C.S. Lewis and Roald Dahl. He also loved the stories his
father told on the car trips the family took out East. "He
told stories all the way there and all the way back, mostly Chinese
folk tales and legends. Except I don't think he stuck to any standard
version. It was Dad's version of The Monkey King." In his
teens, Lam enrolled in a summer writing workshop at Queen's University.
He dreamed of being a writer. But he also wanted to become a doctor.
With medical school looming on the horizon, he set writing aside
for a while. Besides, Lam had a nagging suspicion he wasn't quite
ready to publish, that he hadn't seen enough of the world and
had nothing important to say. Medicine would provide him with
rich material, he thought, and give him some experience of life.

That was a pretty good plan. Not only did Lam's book Bloodletting
& Miraculous Cures win this year's Giller Prize, he has also
signed a deal to develop the linked collection about a group of
young doctors into a television series.

Lam, an emergency room doctor in Toronto, sounds slightly dumfounded
by the sudden rush of acclaim. He is still reeling over his Giller
win: "It was one of those moments in your life when you feel
as though you are watching yourself. I was completely shocked,"
he says.

In a manner hardly seen in Canada, Lam's career is speedily acquiring
the lustre of legend: There is the story of his chance encounter
with Margaret Atwood aboard the Arctic cruise where he worked
as ship's doctor; and Atwood's e-mail pronouncement after reading
his work: "Congratulations. You can write." And there
is his age. At 32, he is the youngest writer to win the prestigious
prize, the only one to take it home for a debut effort.

Most of all, there is the aura of romance that attaches to doctors
who write -- the allusions to Hosseini and Maugham and Chekhov.

Bloodletting & Miraculous Cures is about aspiring doctors
who learn about themselves and the world through the vicissitudes
of medical practice.

As Lam predicted, medicine turns out to be an excellent stage
upon which to articulate his ideas about human nature: "It's
very complicated to be a good person," he said. "If
one starts medicine, like myself, from a fairly naive point of
view, with the belief that people want to do good and play by
the rules, one quickly realizes that that's not exactly the case."
Life-and-death is the easy part: "If someone is about to
die, it's very clear what you are supposed to do. But it's very
different if someone claims to have some sort of problem you can't
verify or disprove. Suddenly, the playing fi eld is very murky.
The patient tells me a story and I'm supposed to fi gure out what
it means, to put the whole narrative in order. And I'm supposed
to make the conclusion happy or less sad." In the stories,
Lam delicately examines the pressures facing Chinese medical students,
who often struggle to reconcile their family's "traditional
expectations and modern ambitions:" "I suspect this
is a very common tension in many multicultural countries,"
said Lam, "although I have not really felt it myself. But
I certainly see it in my peers. I think much depends on family
backgrounds, the way the family operates. My family doesn't really
fi t the high-pressure immigrant thing." Lam was born in
London, Ont., in 1974, to Chinese parents from Vietnam, and moved
to Ottawa four years later. His father is a career civil servant,
his mother an architect. He describes his childhood as happy and
uneventful, framed by school and extracurricular activities that,
apart from reading, included music and church. He plays violin
-- he was a busker in his younger days -- and often accompanied
his father, a classically trained violinist, in church duets.
Church continues to be an important part of life for Lam, who
is married with a toddler son. He says the Bible has infl uenced
his work: "It probably does inform my sense of drama and
loss and redemption." But, he added, "I could never
have managed (any of those themes) without going out into the
world and seeing how it all unfolds."